Healthcare Provider Details

I. General information

NPI: 1700778784
Provider Name (Legal Business Name): THE BLUE BUTTERFLY BEYOND AUTISM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 08/01/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 APACHE DR
BROOKFIELD CT
06804-3103
US

IV. Provider business mailing address

19 APACHE DR
BROOKFIELD CT
06804-3103
US

V. Phone/Fax

Practice location:
  • Phone: 347-413-2734
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRYCJA MOTYLEWICZ
Title or Position: CEO
Credential: BCBA, DBH
Phone: 203-300-2427